Current situation of health service demand and utilization among the rural residents in Hainan province

Objective:To investigate the situations of health service demand and utilization among the rural residents in Hainan province,provide a theoretical basis for perfecting the construction of rural health service system.Methods:A stratified random sampling method was used to select 29 administrative villages from 15 towns in 5 cities/counties in the eastern part,the middle part,and the western part of Hainan province,then the rural residents were Abstracted from the villages for questionnaire survey.Results:The two-week prevalence rate of the rural residents was 20.8%,and there were age difference and national difference;the two-week visiting rate was 73.4%;the prevalence rate of chronic diseases among the rural residents aged 18 years old and the adults was 20.4%;the higher the age was,the higher the treatment rate was.Most of the rural residents went to village clinics for treatment;the hospitalization rate in 2007 was 40.4‰;27.6% of the rural residents of Han nationality and 34.9% of the rural residents of minority nationalities underwent gynecological examination;the hospital delivery rate of pregnant women was more than 90.0%;the rates of physical examination among the boys and girls under seven years old were 40.8% and 29.4%,respectively.Conclusion:The health service demand of the rural residents in Hainan province is large,but the situations of health service utilization need improvements,the reformation of rural health service institutions and service network should be paid more attention to and quickened,the publicity of health knowledge among the rural residents should be enhanced,the rural health service resources should be utilized fully,and the health level and quality of life of the rural residents should be improved.